Individual
DR. JASON ROBERT KEONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1823 HIGHWAY BLVD, SUITE 5, SPENCER, IA 51301-2226
(712) 262-6320
(712) 264-3007
Mailing address
1823 HIGHWAY BLVD, SUITE 5, SPENCER, IA 51301-2226
(712) 262-6320
(712) 264-3007
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
38989
IA
Other
Enumeration date
06/23/2006
Last updated
06/28/2010
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